Organization
THERAPEUTIC SUCCESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARA MERVIUS MS. OTR/L (OCCUPATIONAL THERAPIST)
(917) 474-1172
Entity
Organization
Contact information
Practice address
310 WICKS AVE, NORTH BABYLON, NY 11703-1512
(917) 474-1172
Mailing address
310 WICKS AVE, NORTH BABYLON, NY 11703-1512
(917) 474-1172
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
07/15/2020
Last updated
07/15/2020
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